What is the most common cause of late postpartum hemorrhage?

Retained placental fragments

Uterine atony

Trauma

Lacerations

Answer and Explanation

The Correct Answer is A

Retained placental fragments are the most common cause of late postpartum hemorrhage. Retained placental fragments can lead to infection and subinvolution of the placental site, which prevents the uterus from contracting and stopping the bleeding.

Choice B is wrong because uterine atony is the most common cause of early postpartum hemorrhage, not late postpartum hemorrhage. Uterine atony occurs when the uterus fails to contract after delivery.

Choice C is wrong because trauma is a rare cause of late postpartum hemorrhage. Trauma can occur during delivery and cause lacerations or hematomas that can bleed later, but this is uncommon.

Choice D is wrong because lacerations are also a rare cause of late postpartum hemorrhage. Lacerations can occur in the cervix, vagina or perineum during delivery and cause bleeding, but this usually happens immediately or within 24 hours after delivery.

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Correct Answer is ["A","C","D","E"]

Explanation

The correct answer is choice A, C, D and E. These medications are all uterotonic agents that can stimulate uterine contractions and reduce bleeding.

They act on different receptors in the uterus and have different side effects and contraindications.

Choice B is wrong because magnesium sulfate is a tocolytic agent that can relax uterine muscles and prevent preterm labor.

It is not indicated for postpartum hemorrhage and can worsen uterine atony.

Normal ranges for postpartum blood loss are less than 500 mL for vaginal delivery and less than 1000 mL for cesarean delivery.

Uterine atony is the most common cause of postpartum hemorrhage and occurs when the uterus fails to contract adequately after delivery.

Risk factors include prolonged or rapid labor, overdistension of the uterus, multiparity, retained placenta, infection and anesthesia.

A. Increase fluid intake to at least 3 L per day B. Increase iron-rich foods in the diet C. Avoid strenuous activities for 6 weeks D. Report any signs of infection, such as fever or foul-smelling lochia E. Resume sexual intercourse as soon as desired

Correct Answer is ["B","D","E"]

Explanation

The correct answer is choice B, D and E. The nurse should include the following information in the teaching:

• Increase iron-rich foods in the diet.This can help replenish the blood loss and prevent anemia.

• Report any signs of infection, such as fever or foul-smelling lochia.These can indicate a serious complication that needs immediate medical attention.

• Resume sexual intercourse as soon as desired.There is no evidence that sexual activity increases the risk of bleeding or infection after postpartum hemorrhage.

Choice A is wrong because increasing fluid intake to at least 3 L per day is not necessary for postpartum hemorrhage recovery.Fluid intake should be based on thirst and urine output.

Choice C is wrong because avoiding strenuous activities for 6 weeks is not a specific recommendation for postpartum hemorrhage.The nurse should advise the client to gradually resume normal activities as tolerated and to rest when needed.

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What is the most common cause of late postpartum hemorrhage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to uterine atony. Which of the following medications should the nurse anticipate administering? Select all that apply:

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is providing discharge instructions to a client who had postpartum hemorrhage and received blood transfusions during her hospital stay. Which of the following information should the nurse include in the teaching? (Select all that apply)

Correct Answer is ["B","D","E"]

Explanation

Postpartum hemorrhage is classified into two groups: early postpartum hemorrhage and late postpartum hemorrhage. What is the most common cause of early postpartum hemorrhage?

A nurse is caring for a client who delivered vaginally 4 hours ago and has saturated two perineal pads in 15 minutes. The nurse identifies this as which of the following types of postpartum hemorrhage?

A nurse is caring for a client who experienced a postpartum hemorrhage after delivering a large baby following oxytocin induction of labor. Which of the following factors put this client at risk for developing postpartum hemorrhage? (Select all that apply)

Which of the following is a risk factor for postpartum hemorrhage?

A nurse is performing fundal massage for a client who has uterine atony and postpartum hemorrhage. Which of the following actions should the nurse take when performing this procedure?

A nurse is caring for a client who has just delivered her baby and is at risk for postpartum hemorrhage (PPH). Which intervention should be included in this client’s plan of care?

A nurse is assessing a client who had a cesarean birth and is experiencing postpartum hemorrhage due to uterine dehiscence. Which of the following manifestations should alert the nurse to this complication?

A nurse is caring for a client who has just delivered a baby and is experiencing postpartum hemorrhage due to retained placental fragments. Which of the following interventions should the nurse anticipate? Select all that apply: